Summer Camp 2019 Registration Form
Tuition Fees: Full Day 8:30 am-3:00pm $355/ Week        Half Day  8:30-12:30 $235 /Week  
                        Extra care 7:30-8:30 AM, $40/week       After Care 3:00-6:00 $80/week
Food Order: Morning Snacks, Lunch, Afternoon Snacks $40/week      Material fee:  $20/ week  
Early Bird discount :
                         
After you sing the summer camp, we will email you the total amount.
Please send the check payable to Kids Elite 1429 High St Alameda CA 94501.

No previous knowledge of Mandarin /Spanish is required.
If you do not order food,Please prepare lunch and snacks and something to drink for your children.                                                


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Kids Elite Club
Student’s Name *
Gender
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D.O.B
Home address
School Attending in Fall 2019 *
Grade in Fall *
Name(s) of Siblings also attending *
Parent’s Name/Guardian 1 *
Home Phone
Work Phone
Cell Phone *
Email *
Parent’s Name/Guardian 2
Home Phone
Work Phone
Email
Emergency Contact Name
Pediatric Doctor Name
Phone
Insurance Company
Policy Number
Important medical limitations and special conditions (Allergies to medicine or food, Asthma etc.) *
Language Level:   *
Required
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